Glasgow 2014 GCC Ticket Allocation Nomination (Achievement Category) Glasgow Communities is committed to the fulfilment of the Glasgow 2014 Legacy vision by supporting Glasgow’s citizens to engage in and benefit from the Games. Glasgow Communities will work through the Area Legacy Engagement Groups (ALEG) to promote the Commonwealth Games 2014 at a local level to increase and widen community participation. GCC Ticket Allocation As part of this commitment to inclusion, Glasgow Communities intends to work with its partners to distribute Commonwealth Games 2014 tickets to nominated groups and individuals across the city. This is your opportunity to nominate individuals to receive an allocation of GCC Tickets. Instructions Please complete this form fully. You can nominate one young person or adult living in Glasgow. All individuals nominated on this form must meet the same criteria (with the exception of chaperones/staff who accompany under16 individuals). Separate Nomination Forms must be completed where individuals/groups meet different criteria. Provide details for every person nominated and chaperoning staff. Indicate the events/sessions your nominees are available to attend. Please note however, Glasgow Life cannot guarantee tickets for any specific session or sport. If successful you will be notified regarding details of tickets awarded to your nominees and asked to confirm acceptance. Conditions of Allocation of Tickets for Inclusion 1 20 tickets are available for individuals who live in the North West of Glasgow and who have demonstrated Achievement, Activism, Commitment to Volunteering or Community Contribution 2 To be eligible, every individual nominated must meet the essential criteria (page 2). 3 Successful nominees will be offered a ticket and invited to attend event as a group, along with other recipients of Achievement tickets. Where a ticket is awarded to an under 16 or a vulnerable person, a second ticket will be allocated to enable them to be accompanied by a friend or family member. The chaperone or accompanying friend or family member should be listed (page 3) so they can be allocated a ticket. 4 Contact information must be provided for every individual nominated. 5 Staff of GCC, Glasgow Life, other ALEOs or ALEG Partner organisations cannot be allocated tickets unless they are required to genuinely accompany/chaperone an individual who has been awarded a ticket. 7 Details and contact information must be provided for every individual nominated. 8 Individuals cannot self nominate. Nominations must be supported by an ALEG partner. 9 All ticket recipients will be required to complete an evaluation form to demonstrate impact/outcome of attending the 2014 Commonwealth Games. 1 Glasgow 2014 GCC Ticket Allocation Nomination – Page 2 Please submit your nominations by email to 2014TicketAllocationNW@glasgowlife.org.uk by 5pm on 19 May to: If you have any queries or comments or are unable to submit a nomination via email, please contact Stephen McDermott, Glasgow Life Legacy Engagement Officer at 0141 276 1525 or by email at: stephen.mcdermott@glasgowlife.org.uk Please tick relevant Area of the City Area Legacy Engagement Group Partner Supporting Nomination Name & Job Title of Nominating Officer Organisation of Nominating Officer Contact Details (including phone number) of Nominating Officer Name or describe the Project/Club/Group which nominees are part of (if applicable) Date Submitted NE □ NW □ South □ ENTER Organisation Enter Details Officer Organisation. May be the same as above Your number (used to contact you regarding queries to nominations) Eligibility Criteria for Glasgow Communities Gift Tickets Every individual nominated must meet the ESSENTIAL CRITERIA. Mark with X if criteria met. ESSENTIAL Individual has demonstrated Achievement, Activism, CRITERIA Commitment to Volunteering or Community Contribution. Please enter a brief description of how the individual meets criteria: 2 Glasgow 2014 GCC Ticket Allocation Nomination – Page 3 Please note: You can only nominate 1 person and up to 2 chaperones (where required) Details of Individuals Nominated (expand as necessary) Name Address Postcode E-mail Telephone D.O.B Chaperone / GL or dd/mm/yy Accompanying Partner Staff Employee Y/N 1. 2. Chaperone 3. Chaperone To be Completed by Glasgow Communities Form Received and Logged by: (Admin Officer) Date Form Received and Logged by: (Admin Officer to complete) Names of Officers on Screening Panel Signature(s) of Screening Officers: Successful Justification for Decision Unsuccessful Signed: (by Senior Responsible Officer or another officer nominated by the SRO) 3 Please indicate which sessions/events your group CAN ATTEND Event Date Day Start Finish -X- Venue Badminton 27-Jul-14 Sun 18:30 22:30 Emirates Arena Cycling Track 26-Jul-14 Sat 11:00 13:30 Sir Chris Hoy Velodrome Hockey 25-Jul-14 Fri 19:00 22:30 Glasgow National Hockey Centre Lawn Bowls 1-Aug-14 Fri 17:45 21:00 Swimming 26-Jul-14 Sat 10:30 12:00 Kelvingrove Lawn Bowls Tollcross International Swimming Centre 4